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General NPI Number Information
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NPI Number | 1760035828
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Entity Type | Organization
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Legal Business Name | CHILDREN'S INSTITUTE, INC.
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 1963 E 103RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90002-3123
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Country | US
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Telephone | 323-569-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 W TEMPLE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-4915
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Country | US
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Telephone | 213-260-7600
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Fax |
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Authorized Official
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Title or Position | PROGRAM COMPLIANCE ANALYST
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Name | MELISSA CERDA
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Credential |
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Telephone | 213-260-7663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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